Early intervention for childhood overweight: A randomized trial in general practice

Abstract

Objective. To evaluate the effect of two intervention modalities concerning overweight and obesity among children in general practice. Design. Prospective randomized controlled trial.Setting. A total of 60 general practices in the former County of Funen, Denmark. Subjects. Overweight children, identified by International Obesity Task Force criteria, aged 5–9 years. Intervention. Model 1 with health consultations in general practice during a two-year period or Model 2, an educational programme for the children and their families in addition to the health consultations. Main outcome measures. Change in body mass index (BMI) z-score in order to compare the results, independent of gender- and age-related changes over time. Results. A total of 80 children were recruited with 35 and 45 children allocated to Model 1 and Model 2, respectively. No significant differences were found in the change in BMI z-score (SDS) between the two groups. A decrease in the mean BMI z-score from baseline to study end of −0.20 (95%CI −0.38 to −0.01) in Model 1 and −0.26 (95%CI −0.44 to −0.09) in Model 2, respectively, was detected. The majority of the participants (2/3) continued in the study for more than one year in both models, with a mean of 12 consultations in general practice. Conclusion. In this particular setting the two intervention strategies against overweight and obesity did not differ significantly with regard to change in BMI z-scores.

Adiposity, fitness, health-related quality of life and the reallocation of time between children's school day activity behaviours: A compositional data analysis

“…As expected, the predicted changes in adiposity and CRF were smaller than those reported in studies of free-living activity behaviours ( Carson et al, 2016 ; Fairclough et al, 2017 ). Nonetheless, the predicted reductions in zBMI when MVPA replaced LPA were meaningful and were greater than those reported in childhood obesity interventions ( Fairclough et al, 2013 ; Ho et al, 2012 ; Kolsgaard et al, 2011 ; Larsen et al, 2015 ; Taylor et al, 2008 ; Watson et al, 2015 ). Moreover, the predicted increases in VO 2 peak would substantially contribute to shifting a child up into the next centile of international normative VO 2 peak values ( Tomkinson et al, 2016 ).…”

Fitness, fatness and the reallocation of time between children’s daily movement behaviours: an analysis of compositional data

“…For example, we observed changes in predicted zBMI and %WtHR of −0.43 and −2.65, respectively when ST was replaced with MVPA at the mean daily behaviour composition. These are greater than significant reductions in zBMI and WtHR values reported in intervention studies among obese [50–53] and non-obese children [54–56]. Similarly, when considering the positive change in predicted CRF as a result of reallocating sleep, ST, and LPA to MVPA, the 1.3 ml·kg·min −1 difference would be sufficient to shift a 10 y old child up into the next decile of recently published international normative VO 2 peak values [28].…”

Characteristics of Multicomponent Interventions to Treat Childhood Overweight and Obesity in Extremely Cold Climates: A Systematic Review of a Randomized Controlled Trial

“…After the exclusion of the duplicates in the databases, the screening and eligibility criteria were applied. Finally, 29 articles were included for data synthesis in this review [ 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 ].…”